By most accounts the Metro Vancouver region is in an enviable position renowned for its livability, natural beauty and pursuit of a sustainable future. Yet, the pressure to compete in a global economy combined with a growing population, expanding cities, and aging infrastructure is creating significant regional challenges for local governments and citizens. Services that keep people healthy, safe and active every day such as transit systems, parks, playgrounds, clean drinking water, recycling services, garbage disposal and waste reduction are costly. They need infrastructure that must be maintained, renewed and replaced over time. But who pays and how? Are increases in property taxes, user fees or government transfers in the form of grants the answer, and if so, what is the role of different levels of government in easing the burden on citizens? Are there other roles to be played by businesses? What might be the full range of financing and design strategies that can keep our region healthy, safe, livable and sustainable?